PENN HEART LLC NPI 1386092559

NPI Information

  • NPI: 1386092559
  • Provider Name: PENN HEART LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 820 SAINT SEBASTIAN WAY
    STE 2B
    AUGUSTA, GA
    ZIP 30901
  • Phone: (706) 722-6612

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NPI Details

PENN HEART LLC is a general practice in Augusta, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PENN HEART LLC NPI is 1386092559. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

820 SAINT SEBASTIAN WAY
STE 2B
AUGUSTA, GA
ZIP 30901-643
Phone: (706) 722-6612
Fax: (706) 722-5057

The provider's authorized official is Weems R Pennington .
The authorized official title is President/owner and has the following contact phone number (706) 210-9990.

The enumeration date for this NPI number is 5/29/2016 and was last updated on 5/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207UN0901XNuclear MedicineNuclear CardiologyNo
3208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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